✅ Knee MRI Mastery/Chap 3.Collateral Ligaments

(Fig 3-B.18) Popliteofibular Ligament Avulsion Fracture

MSK MRI 2024. 5. 22. 11:55

https://youtu.be/bDJM8k2UzN0

https://youtu.be/6WOItzqJj1g

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📌Attachments to the Fibular Head

  • Biceps femoris tendon and lateral collateral ligament attach laterally
  • Arcuate and fabellofibular ligaments attach posteromedially
  • Popliteofibular ligament attaches most medially

 

✅ Fibular Head Fractures as Clues to PLC Injury

  • Avulsion fractures of the fibular head (arcuate fractures/sign) occur at PLC component attachment sites
  • Their location and size help predict the injured structure

 

✅  Fracture Patterns and Injured Structures

  • Diffuse/lateral fibular head fracture = fibular collateral ligament or biceps femoris injury
  • Small styloid fracture = popliteofibular or arcuate ligament injury

 

✅  Arcuate Complex Avulsions

  • Common pattern involves styloid process at arcuate complex attachment 
  • 1-8mm fragment displaced medial/superior to styloid = arcuate or popliteofibular ligament injury

 

RadioGraphics 2016; 36:1776–1791

RadioGraphics 2014; 34:496–513

Radiol Clin North Am. 2018 Nov;56(6):935-951

 

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